Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elicia Grace Goodwin

Individual provider Physician Assistant · NPI 1285408591

Elicia Grace Goodwin is a Physician Assistant in Spokane Valley, Washington. Qualified in 2023, 3 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023

Practice location Address checks out

16528 E Desmet Ct Ste 3100
Spokane Valley, WA 99216-3522
Phone: (509) 944-9440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61518385 (WA)

Record details

NPI number1285408591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2023
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane Valley